Dental & Vision Plans Enrollment
If you are currently enrolled in dental and/or vision benefits, you will automatically be re-enrolled in the same plan(s) for 2025 and don’t need to do anything.
Active Employees
Open enrollment for the 2025 plan year is September 30 - October 25, 2024.
Dental and/or Vision Enrollment
If you plan on enrolling in a different dental or vision plan for 2025, or adding a major coverage supplemental dental plan, visit the State of Wisconsin – ETF enrollment website to verify eligibility and coverage. You will receive a new ID card if you are a new subscriber to a plan.
Local Employees
Local employees should check with your employer to see which dental and vision plans are offered.
New Hires & Current Enrollment Changes
New hires or currently enrolled employees who would like to change your election should visit with your payroll/benefit specialist.
Wisconsin State & Local Retirees & State Continuants
Open enrollment for the 2025 plan year is September 30 - October 25, 2024.
Dental and/or Vision Enrollment
State and local retirees and state continuants who qualify and wish to enroll in supplemental dental and/or vision benefits can enroll online.
Prefer to enroll by paper form? Download and complete the appropriate change form(s) below and return by mail.
Current Enrollment Changes
To make a change to your election or billing information, download the appropriate form. Completed forms can be returned by mail.
Dental Enrollment Change Form for Retirees and Continuants
Vision Enrollment Change Form for Retirees and Continuants
Contact Us
For questions about enrollment or our dental plans contact:
Delta Dental of Wisconsin Customer Service
Hours: 7:30 a.m. to 5 p.m. CST, Monday - Friday
Phone: 844-337-8383
Email: ETFCustomerService@deltadentalwi.com
For vision plan questions contact:
EyeMed Customer Care Center
Hours: Monday - Saturday, 6:30a.m. - 10 p.m. CST
Sunday, 10 a.m. - 7 p.m. CST
Phone: 855-544-6035
online: member.eyemedvisioncare.com/stateofwi
